Provider First Line Business Practice Location Address:
26 MIDWAY STREET
Provider Second Line Business Practice Location Address:
BRISTOL REGIONAL COUNSELING CENTER
Provider Business Practice Location Address City Name:
BRISTOL
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-989-4500
Provider Business Practice Location Address Fax Number:
423-989-0954
Provider Enumeration Date:
08/13/2006